Clark, Alan Boyd

Clark, Alan Boyd is an individual health care provider with primary practice located at 1875 Remount Rd , Gastonia NC 28054-7413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Clark, Alan Boyd can be contacted via phone (704) 874-0604.

Contact Information

Primary practice address
1875 Remount Rd Gastonia NC 28054-7413
Phone: (704) 874-0604
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34278 North Carolina

Profile Details

NPI number 1427044155
LBN Legal business name Clark, Alan Boyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Aug 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427044155 NPPES
North Carolina Other 110093323 RAILROAD MEDICARE
North Carolina MEDICAID 7922707 RAILROAD MEDICARE
North Carolina MEDICAID N34278 RAILROAD MEDICARE

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